Open versus Closed Hemorrhoidectomy - An Experience at Mayo Hospital

Abstract

Hemorrhoids are a common problem that affects a larger group of population. It affects both sexes and is more common in the more prosperous societies, perhaps related to exercise, diet and bowel habits. The objective of the study was to compare the outcome of the two conventional methods of haemorrhoidectomy, open and closed techniques for 3rd degree prolapsing and complicated haemorrhoids. This would be a non-interventional type of study comparing the two methods conducted at surgical unit-1 Mayo Hospital, Lahore comprising of fifty patients selected randomly and equally divided in two groups. No statistically significant differences were found between the two methods regarding complications and postoperative hospital stay (P>0.05). Pain and the analgesic requirement on the day of surgery and the first postoperative day was significantly lower (P<0.05) in open haemorrhoidectomy group. Complete wound healing took longer in open haemorrhoidectomy as compared to closed technique, 3 patients suffered wound dehiscence after closed haemorrhoidectomy. Only 4% in each group develop recurrence after one year. Open haemorrhoidectomy leads to more reliable wound healing with lesser complications, though heeling time is more as compared to the closed technique. Both techniques are fairly efficient for treating third degree haemorrhoids.